Persistent Pain After Finger Injury: What You Need to Know - Orthopedics

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Pinky finger hammer injury


The wound has healed, but it still hurts when touched, and it has been over a month.

johnny, 40~49 year old female. Ask Date: 2019/10/14

Dr. Wang Shouji reply Orthopedics


Hello, if the pain persists for a month, it is recommended to follow up with an X-ray examination.
Injuries of this nature may take two to three months to resolve completely.
Changhua Hospital cares about your health.
Sincerely, Wang Shou-ji.

Reply Date: 2019/10/14

More Info


Persistent pain after a finger injury can be a frustrating and concerning issue, especially when the initial injury seems to have healed. Based on the information provided, it appears that you have experienced a finger injury that has resulted in ongoing discomfort even after the wound has healed. This situation is not uncommon, and there are several factors to consider regarding your symptoms and the need for further medical evaluation.

Firstly, it is important to understand that pain can persist after an injury for various reasons. One common cause is the formation of scar tissue. When the skin and underlying tissues heal, scar tissue can develop, which may not have the same elasticity or sensitivity as the original tissue. This can lead to discomfort, especially when pressure is applied to the area. Additionally, if the injury involved any damage to the nerves, it could result in neuropathic pain, which is characterized by a burning or tingling sensation and can be quite bothersome.

Another factor to consider is the possibility of joint involvement. If the injury affected a joint, such as a finger joint, it may lead to conditions like post-traumatic arthritis or joint stiffness. These conditions can cause pain during movement or when pressure is applied. Given that you mentioned the pain worsens with activities like playing the piano, it is plausible that the repetitive motion and pressure on the affected finger are exacerbating your symptoms.

In your case, since the pain has persisted for over a month, it is advisable to seek medical attention. A healthcare professional can perform a thorough examination, which may include imaging studies such as X-rays or MRI, to assess for any underlying issues that may not be visible externally. They can evaluate the integrity of the joint, the condition of the surrounding soft tissues, and any potential nerve damage.

In the meantime, there are several self-care strategies you can implement to help manage your pain. Resting the affected finger and avoiding activities that exacerbate the pain is crucial. Ice therapy can also be beneficial in reducing inflammation and numbing the area, particularly after activities that cause discomfort. Over-the-counter pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs), can help alleviate pain and reduce swelling.

Physical therapy may also be a valuable option for rehabilitation. A physical therapist can guide you through exercises designed to improve range of motion, strengthen the surrounding muscles, and promote healing. They may also employ modalities such as ultrasound or electrical stimulation to help manage pain.

Lastly, it is essential to monitor your symptoms closely. If you notice any changes, such as increased swelling, redness, or warmth around the injury site, or if the pain becomes more severe, it is crucial to seek medical attention promptly. These could be signs of complications such as infection or other underlying issues that require immediate intervention.

In summary, persistent pain after a finger injury warrants further evaluation by a healthcare professional. While self-care measures can provide temporary relief, a thorough assessment is necessary to determine the underlying cause of your symptoms and to develop an appropriate treatment plan. Taking proactive steps now can help ensure a better recovery and minimize the impact on your activities, such as playing the piano.

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